Resolution of night terrors after discontinuation of cetirizine

Lourdes DelRosso, Romy Hoque

Department of Neurology, Division of Sleep Medicine, Louisiana State University School of Medicine, Shreveport, Louisiana.
Department of Neurology, Division of Sleep Medicine, Louisiana State University School of Medicine, Shreveport, Louisiana;.

DOI: 10.4236/crcm.2012.11001                

Abstract

We present a 4-year-old girl with allergies and asthma who developed night terrors after initia- tion of montelukast at 2 years of age. Montelu-kast was discontinued and cetirizine was started. Nigh terrors persisted. Sleep diaries were col- lected and diagnosticpolysomnogram (PSG) was ordered. Sleep diaries revealed an average sleep time of 10 hours with night terrors occur- ring three nights a week approximately two hours after sleep onset. The PSG did not show evidence of sleep disordered breathing or peri- odic leg movements. Cetirizine was discontin- ued and the night terrors ceased. Upon re-intro- duction of the medication, the sleep terrors re- curred.

Keywords

Night Terrors; Montelukast; Cetirizine; Allergic Rhinitis

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Laberge L, Tremblay RE, Vitaro F, Montplaisir J. (2000) Development of parasomnias from childhood to early adolescence. Pediatrics, 106, 67-74.
[2]	American Academy of Sleep Medicine. (2005) International classification of sleep disorders; diagnostic and coding manual. 2nd edition. American Academy of Sleep Medicine.,Westchester, IL.
[3]	Nguyen BH, Perusse D, Paquet J, Petit D, Bolvin M, Tremblay RE, Montplaisier J. (2008) Sleep terrors in children: a prospective study of twins. Pediatrics, 122, e1164-1167.
[4]	Owens JA, Millman RP, Spirito A. (1999) Sleep terrors in a 5-year-old girl. Archives of pediatrics & adolescent medicine, 153, 309-312.
[5]	Owens J, Spirito A, Nobile C, Arrigan M (1997) Incidence of parasomnias in children with obstructive sleep apnea. Sleep, 20, 1193-1196.
[6]	Wallerstedt SM, Brunlof G, Sundstrom A, Eriksson AL. (2009) Montelukast and psychiatric disorders in children. Pharmacoepidemiology and drug safety, 18, 858-864.
[7]	Jones MC, Jones CE, 2nd. (2010) Use of cetirizine in a 23-month-old male causes insomnia. Southern medical journal, 103, 485-486.